| NPI | 1467787846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 24336) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 52095) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2010-01-29 |