| NPI | 1558515544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5524) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: OR 189428) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |