| NPI | 1083934046 |
|---|---|
| Former Name | DINA PICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00006726) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 2665) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |