NPI | 1427634344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000442) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH068290) |
124Q00000X Dental Hygienist (Licence: NJ 22HI00845700) | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-03-22 |