| NPI | 1881970184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 2063) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KY 3825) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |