| NPI | 1609515253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 11719) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 12900) |
| 124Q00000X Dental Hygienist (Licence: GA DH044923) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-07-12 |