| NPI | 1548900699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 10714) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 10714) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-04-08 |