| NPI | 1508297847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR 118921) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H9027) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2026-01-20 |