NPI | 1073095501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ID DH-3679) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH60888742) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2021-03-31 |