| NPI | 1548788516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 134230) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 9545) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-10-27 |