| NPI | 1841626306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 18069) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 17973) |
| 124Q00000X Dental Hygienist (Licence: FL 18294) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |