| NPI | 1629578893 |
|---|---|
| Former Name | JENNIFER KWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002025002) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO LOCAL.0001364) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |