| NPI | 1548701311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI DH-1832) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00006542) |
| 124Q00000X Dental Hygienist (Licence: CA 19771) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |