| NPI | 1558012054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 7111) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH010990) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2024-08-11 |