| NPI | 1265668917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA HL60097540) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA dh07371) |
| 124Q00000X Dental Hygienist (Licence: CO 905336) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-30 |