| NPI | 1033622238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 810) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27974) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2021-08-06 |