| NPI | 1568722841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H6216) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR 119052) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2023-03-13 |