NPI | 1326437567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH3849) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH88171) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-01-12 |