| NPI | 1871904193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NY 024448-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 024448-1) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |