| NPI | 1033681077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H8366) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27704) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2022-02-03 |