| NPI | 1689826240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP785) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 22326) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-08-11 |