| NPI | 1225317241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60194052) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5908) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2020-06-22 |