| NPI | 1043437148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H6304) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: OR 113959) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-09-25 |