| NPI | 1366698599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP275) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 17050) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2017-03-15 |