| NPI | 1487453932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 36868) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 98426) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-07-01 |