| NPI | 1740731215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 533) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25265) |
| 124Q00000X Dental Hygienist (Licence: TX 20398) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |