| NPI | 1528812047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VA 0402207841) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID DH-3786) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |