| NPI | 1871858670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60010814) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA VA00049715) |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2012-07-08 |