| NPI | 1942212832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR xray/EFDA # A10170) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: OR CDA # 126323) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-16 |