| NPI | 1588878219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP 326) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 22663) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-12-28 |