| NPI | 1790933497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H2822) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH 00006022) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2011-03-21 |