| NPI | 1417765983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2024010386) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH31215) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |