| NPI | 1609405323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH012825) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H009027) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |