| NPI | 1396984316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL FL15206) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 11560) |
| 124Q00000X Dental Hygienist (Licence: NC 8413) | |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2011-05-03 |