| NPI | 1972971646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 6754) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 15404) |
| 174400000X Specialist | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2023-06-25 |