| NPI | 1346051265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH61613411) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H8953) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |