| NPI | 1457996209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 8872) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KY 7096) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |