| NPI | 1346530045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 367) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 22249) |
| 124Q00000X Dental Hygienist (Licence: NV 101046) | |
| 126800000X Dental Assistant (Licence: CA 05238) | |
| 124Q00000X Dental Hygienist (Licence: AK 2079) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-11-05 |