NPI | 1568761278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 828) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 1930) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2022-09-06 |