NPI | 1538567896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002023537) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH070090) |
124Q00000X Dental Hygienist (Licence: NY 024528) | |
Enumeration Date | 2014-12-18 |
Last Update Date | 2014-12-18 |