NPI | 1356600886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 609) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 531) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2012-05-03 |