| NPI | 1669190831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OH 31.015642) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.002025609) |
| 124Q00000X Dental Hygienist (Licence: HI 2245) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |