| NPI | 1194036426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH 0005045) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H2802) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-08-02 |