NPI | 1396016986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MI 2902002714) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO HD-903109) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-01-13 |