| NPI | 1578912960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH012267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN284749) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-07-28 |