| NPI | 1982478764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 8827) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG2001214) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-19 |