| NPI | 1982244489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI 2148) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OK 4006) |
| 124Q00000X Dental Hygienist (Licence: WA 60593730) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |