| NPI | 1477905206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 112742) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 112743) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |