| NPI | 1770573545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 003702) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2002022766) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2026-02-26 |