| NPI | 1639792542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 863) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 31877) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-08-11 |