| NPI | 1093117780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 19221) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 42739) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |