| NPI | 1518383942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00005237) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H3962) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |