| NPI | 1366773293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP257) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH18827) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-01-21 |