| NPI | 1497906317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H4847) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 22690) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |