NPI | 1588153613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 148006) |
124Q00000X Dental Hygienist (Licence: GA DH043341) | |
124Q00000X Dental Hygienist (Licence: TN 10359) | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2022-02-15 |