| NPI | 1437395902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 2065) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IA 03646) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |