| NPI | 1831343821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H2958) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020-003802) |
| 124Q00000X Dental Hygienist (Licence: AK 468) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |