| NPI | 1952930778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VA 0402207342) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 3999) |
| 124Q00000X Dental Hygienist (Licence: GA DH12296) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |