NPI | 1467846485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2014041690) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 11766) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |