NPI | 1194038125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 300) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 22521) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2010-07-19 |