| NPI | 1649798216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5299) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: HI DH-1961) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |