| NPI | 1518663178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 8287) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 11532) |
| 124Q00000X Dental Hygienist (Licence: GA DH043975) | |
| 124Q00000X Dental Hygienist (Licence: NY 027983) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-04-06 |