| NPI | 1730906207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH044533) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402208065) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |