| NPI | 1588892418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 0015481) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 023831) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |