NPI | 1295973386 |
---|---|
Former Name | PATRICIA ANN RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 228) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 5639) |
Enumeration Date | 2009-01-27 |
Last Update Date | 2009-07-17 |