| NPI | 1215641642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH61111312) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H8571) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-11-05 |