| NPI | 1326490624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H007204) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902016124) |
| 124Q00000X Dental Hygienist (Licence: GA DH011158) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |