| NPI | 1487012753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H008074) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00006154) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |