| NPI | 1699253393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 9735) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 9159) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |