| NPI | 1851787394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60350549) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27405) |
| 124Q00000X Dental Hygienist (Licence: OR H6453) | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2020-11-27 |