| NPI | 1679922496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 413) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 458) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |