| NPI | 1083987556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 21818) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 7055) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |