NPI | 1194399170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VT 015.0001559) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VT 0015.0001559) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-05-14 |