| NPI | 1316529621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 23534) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: 23534) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |