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 |