| NPI | 1922536234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ID DH-3120-EA) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H7514) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |