| NPI | 1538567896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002023537) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH070090) |
| 124Q00000X Dental Hygienist (Licence: NY 024528) | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2025-03-07 |