| NPI | 1306859715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 7756) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 10935) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |