NPI | 1134884406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: LA 2762) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 2762) |
Enumeration Date | 2021-11-02 |
Last Update Date | 2021-11-02 |