| NPI | 1972871705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H6152) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH60247293) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2021-12-21 |