| NPI | 1700262771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 657) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 21351) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-09-03 |