| NPI | 1831439082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 2299) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IA 04070) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-03-01 |