| NPI | 1609217520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR h6334) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH60304580) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |