| NPI | 1841996717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 905098) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 10639) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |