| NPI | 1912874520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DEHY.DH.70129951) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-06-08 |