| NPI | 1871714782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OK 1259) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11860) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |