| NPI | 1790590396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 11225-16) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 124Q00000X) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |