| NPI | 1295457224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DC HYG1000678) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 6488) |
| 124Q00000X Dental Hygienist (Licence: VA 0402205301) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-10-12 |