NPI | 1104195858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 007630) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME RDH3725) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2011-12-27 |