| NPI | 1053810598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 25037) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25037) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2024-03-16 |