NPI | 1013255348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AL 7444) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H6084) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2013-01-22 |