| NPI | 1760103717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 5639) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402208545) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |