| NPI | 1265643720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AR 1679) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: LA 561) |
| 124Q00000X Dental Hygienist (Licence: TX 2902) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |