| NPI | 1396454849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 13576) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 002026552) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |