| NPI | 1770841033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 28383) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 74362) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2014-10-14 |