NPI | 1174399901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 9602) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 8579) |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-05 |