| NPI | 1669294419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 13439) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |