| NPI | 1235595638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP1202) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA AEF1776) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2026-03-22 |