| NPI | 1871022962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00004602) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT DENRDH-LIC-9643) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-11-02 |