| NPI | 1528516333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA Dh60691650) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID Dh3189) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |