| NPI | 1689407033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 1003485-16) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 1003485) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |