| NPI | 1750516159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL dh 18410) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL 18410) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |