| NPI | 1962382150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI 2197) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 30673) |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |