| NPI | 1467872788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI 1422) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 11103) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2015-05-05 |