| NPI | 1619299245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 13945) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 009098) |
| 124Q00000X Dental Hygienist (Licence: NC 8336) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |