| NPI | 1942603576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OH 31.008422) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH OHAH.60) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |