| NPI | 1356574735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DC HYG1000098) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 4956) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2011-11-27 |