| NPI | 1669970117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H008839) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH24863) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |