| NPI | 1689975856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DC HYG1000466) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402203526) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |