| NPI | 1841875689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NV 3670) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H05571) |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |