| NPI | 1518105873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT 1368) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA HAP222) |
| 124Q00000X Dental Hygienist (Licence: CA 19758) | |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2014-05-02 |