NPI | 1326498494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 2179) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 804) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-06-20 |