| NPI | 1700425840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: 3248) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 3248) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-10-11 |