| NPI | 1710566138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IN 13004094A) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902018760) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2021-04-04 |