| NPI | 1588550594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H009379) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID DH-4314) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |