| NPI | 1982326849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA RDH33066) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H10364) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |