| NPI | 1891938577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00003096) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H1211) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |