NPI | 1326490624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H007204) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902016124) |
124Q00000X Dental Hygienist (Licence: GA DH011158) | |
Enumeration Date | 2016-07-11 |
Last Update Date | 2016-07-11 |