| NPI | 1689110389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI 1993) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: HI DH-1993) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2025-08-26 |