NPI | 1043542640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP217) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH20986) |
Enumeration Date | 2010-02-05 |
Last Update Date | 2013-11-20 |