| NPI | 1669749123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDHAP780) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 23597) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2020-10-26 |