| NPI | 1982229340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 33423) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 015795) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |