| NPI | 1992887715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 17523) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH009009) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-05-16 |