| NPI | 1922346717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 459) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 22990) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2021-04-07 |