| NPI | 1467903393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020014796) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13007774A) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-11-01 |