| NPI | 1801353180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 30209) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 77758) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |