| NPI | 1235677295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH 28651) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: HI DH-1988) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |