NPI | 1083053961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000903013) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 903013) |
124Q00000X Dental Hygienist (Licence: TX 11626) | |
124Q00000X Dental Hygienist (Licence: IL 020-003911) | |
Enumeration Date | 2013-06-24 |
Last Update Date | 2022-11-07 |