| NPI | 1114041118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H2995) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA HL00007459) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |