| NPI | 1851598601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 1728) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IA 3086) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |