| NPI | 1710331806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP 609) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 24763) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |