| NPI | 1548869605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP782) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 26940) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2026-03-11 |