| NPI | 1801672928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2023034949) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020017944) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |