| NPI | 1548699226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60242439) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5992) |
| 124Q00000X Dental Hygienist (Licence: AZ H007330) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |