| NPI | 1801285580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDHAP 522) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 15432) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-05-31 |