| NPI | 1629816814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI 2284) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020.017018) |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-07-20 |