| NPI | 1558079962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA 61371476) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist (Licence: OR H8546) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |