| NPI | 1265267009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 11142) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 102601) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |