| NPI | 1073901435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00006280) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H4166) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-12-17 |