| NPI | 1477951614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 20634) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 101470) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |