| NPI | 1780705400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH 19536) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDHAP/195) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-28 |