NPI | 1376708644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME 2130) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 5857) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2008-07-25 |