| NPI | 1700424728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH-7007) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist (Licence: AK 229213) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2025-06-26 |