| NPI | 1770351413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 4151) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 103032) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-14 |