| NPI | 1679802706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 276) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 19963) |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2009-12-20 |