| NPI | 1811354269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020008907) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH11199) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |