| NPI | 1578173910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL 18232) |
| Additional Taxonomies | 125J00000X Dental Therapist (Licence: CT 006507) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |