| NPI | 1861830853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 10670) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2011037744) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |