| NPI | 1730943895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 10809) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 101616) |
| 124Q00000X Dental Hygienist (Licence: PA DH071269) | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |