| NPI | 1356021992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 1005) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 34378) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |