NPI | 1144468554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00006978) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 26454) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2013-10-22 |