NPI | 1356825814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: AK 18-148-DHAT) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-09-20 |
Last Update Date | 2022-07-28 |