| NPI | 1326545492 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: GA DH009907) | 
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH009907) | 
| Enumeration Date | 2018-04-06 | 
| Last Update Date | 2023-02-13 |