| NPI | 1174926786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP 540) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 10299) |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2015-08-08 |