| NPI | 1407538077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AR 2499) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2015002446) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |