| NPI | 1811504442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020.011218) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13004796A) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-29 |