| NPI | 1083234363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP954) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 23678) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-08-10 |