| NPI | 1992325799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: CA 821) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 26249) |
| 124Q00000X Dental Hygienist (Licence: CA 821) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2022-11-07 |