| NPI | 1326918889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2001021353) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 12410) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |