| NPI | 1659738045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA RDA 38597) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA RDAEF 609) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |