| NPI | 1710516141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA 8281) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902012129) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |