| NPI | 1780324400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 009300) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 028240) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |