NPI | 1215325162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 2023390) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO CO2023390) |
Enumeration Date | 2014-12-30 |
Last Update Date | 2020-07-01 |