| NPI | 1144589516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH26009) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 2788) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |