NPI | 1558574129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 5547) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DE G20002593) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |