| NPI | 1801525233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 1460) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 249) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |