| NPI | 1366875312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NV 3537) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 4458) |
| 124Q00000X Dental Hygienist (Licence: NJ 22HI00800300) | |
| 124Q00000X Dental Hygienist (Licence: NY 020810-1) | |
| 124Q00000X Dental Hygienist (Licence: VA 0402205892) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |