| NPI | 1891162772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA HL00007098) |
| Additional Taxonomies | 122400000X Denturist (Licence: WA DN61260663) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2022-06-08 |