| NPI | 1922683754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NV 102359) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH11908) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |