| NPI | 1831404680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP390) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25309) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2013-10-29 |