| NPI | 1912621558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H8311) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH61204993) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |