| NPI | 1871345652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 25814) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.002026962) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |