| NPI | 1356825814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: AK 18-148-DHAT) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-07-28 |