| NPI | 1417307968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH006787) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 2747) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |