| NPI | 1093952186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 24549) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 51629) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-10-19 |