| NPI | 1508250598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 6791) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 027119-1) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |