| NPI | 1730694134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 17269) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA 6861) |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |