| NPI | 1730309162 |
|---|---|
| Former Name | KORINE DENISE STAEHELI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 22891) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00006553) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |