| NPI | 1881211241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 7387) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T16907) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-05-31 |