| NPI | 1568040749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR 119668) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: WA D160240548) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |