| NPI | 1568761278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 828) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 1930) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2022-09-06 |