| NPI | 1104264399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 67522) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27777) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-08-26 |