| NPI | 1346572252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OH EFDA-01263) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: IL 201692) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |