| NPI | 1649909185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 2761) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 248) |
| 124Q00000X Dental Hygienist (Licence: NE 1633) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |