| NPI | 1730845173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 002671) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 023778) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |