| NPI | 1174160600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 23476) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 118822) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |