NPI | 1407100589 |
---|---|
Former Name | ANNETTE MARIE BACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H4035) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA HL00007073) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2012-10-29 |