| NPI | 1932830429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2024022321) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H06118) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-12-23 |