NPI | 1467721357 |
---|---|
Former Name | ESTHER KIM LE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 616) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25647) |
Enumeration Date | 2011-12-21 |
Last Update Date | 2022-12-08 |