| NPI | 1982081907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00005855) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 4954-16) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-05-27 |