| NPI | 1386898286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5352) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA 00007926) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |