| NPI | 1306037908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H1907) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: UT 111930-9920) |
| 124Q00000X Dental Hygienist (Licence: ID DH-1678) | |
| 124Q00000X Dental Hygienist (Licence: WA HL00007676) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-02-11 |