| NPI | 1437542917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NH 03221) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VT 015.0106388) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |