| NPI | 1649349002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH0004393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19219) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-09-11 |