NPI | 1083970750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: MN DT7) |
Additional Taxonomies | 125J00000X Dental Therapist (Licence: MN DT7) |
Enumeration Date | 2012-04-07 |
Last Update Date | 2017-02-14 |