| NPI | 1750108189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH2708) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H010205) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |