NPI | 1457737066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000906474) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020009227) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2015-08-05 |