| NPI | 1598362253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NV 102556) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 20677) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |