| NPI | 1942659305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH16998) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH011610) |
| 124Q00000X Dental Hygienist (Licence: HI DH1589) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |