| NPI | 1568624419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H4680) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH6912) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |