| NPI | 1417738469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NH 03572) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |