| NPI | 1295910594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00007954) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5286) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2022-01-04 |