| NPI | 1679251730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 13244) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 3192) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |