| NPI | 1366888539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 818) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H4307) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-08-27 |