| NPI | 1528623147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ 009645) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 002025444) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-06-15 |