| NPI | 1689826653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH 19010) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5578) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2014-10-15 |