| NPI | 1578894820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 10133-16) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020.012262) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |