| NPI | 1952626012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 14583) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 321) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2011-09-09 |