NPI | 1013161884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5521) |
Additional Taxonomies | 126900000X Dental Laboratory Technician |
Enumeration Date | 2008-11-06 |
Last Update Date | 2008-11-06 |