| NPI | 1841635026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OK 2320) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902010401) |
| 124Q00000X Dental Hygienist (Licence: AZ 7534) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-08 |