| NPI | 1386491645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H04943) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 08356) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |