| NPI | 1275975310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H06644) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27517) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2017-03-08 |