| NPI | 1649003534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 8239) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG1001077) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |