| NPI | 1407454564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5809) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA HL60545314) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-06-29 |