NPI | 1720786841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: CA 602) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 27227) |
Enumeration Date | 2023-02-17 |
Last Update Date | 2023-02-17 |