| NPI | 1689074452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OH 31-011442) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: OH 01941) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |