| NPI | 1295973386 |
|---|---|
| Former Name | PATRICIA ANN RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 228) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 5639) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-07-17 |