| NPI | 1760550248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020009703) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31007206) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |