| NPI | 1508364480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 12368) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AL 8523-C1) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |