| NPI | 1588153613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 148006) |
| 124Q00000X Dental Hygienist (Licence: GA DH043341) | |
| 124Q00000X Dental Hygienist (Licence: TN 10359) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-02-15 |