| NPI | 1871221663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 912) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 31175) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |