| NPI | 1932557774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 11809) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2003015420) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-09-02 |