| NPI | 1871872473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00005616) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H3586) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |