| NPI | 1891153045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH 60169673) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5880) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |