| NPI | 1154016129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 29114) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 1080) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-07-15 |