| NPI | 1639290059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 12522) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 10247) |
| 124Q00000X Dental Hygienist (Licence: OR H1235) | |
| 124Q00000X Dental Hygienist (Licence: WA DH00001974) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |