NPI | 1003681115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 8585) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG2001174) |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-11-17 |