| NPI | 1215694955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 21913) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 21913) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-05-10 |