| NPI | 1336392703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00005298) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H3324) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |