| NPI | 1780975243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH 11695) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH DH 31 008360) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |