| NPI | 1982991006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60180949) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5923) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2011-07-10 |