| NPI | 1700334273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH011499) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AL H.007822-C1) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |