| NPI | 1477084754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 23278) |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist (Licence: CA 500) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |