| NPI | 1386409118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WV 2836) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 7152) |
| 124Q00000X Dental Hygienist (Licence: VA 0402207102) | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |