| NPI | 1427531789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 10675-75) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 10675-016) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |