| NPI | 1609464668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 2136) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN DH02136) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |