| NPI | 1639959125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 24644) |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist (Licence: CA 991) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |