| NPI | 1841747383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ID DH3517) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN DH0000008318) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-28 |