| NPI | 1093957797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH 00004488) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H4595) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |