| NPI | 1639895873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH28706) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NH 03403) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |