NPI | 1346530045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 367) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 22249) |
124Q00000X Dental Hygienist (Licence: NV 101046) | |
126800000X Dental Assistant (Licence: CA 05238) | |
124Q00000X Dental Hygienist (Licence: AK 2079) | |
Enumeration Date | 2011-04-14 |
Last Update Date | 2011-11-05 |