| NPI | 1710498803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant |
| Additional Taxonomies | 126800000X Dental Assistant |
| 174H00000X Health Educator | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |