NPI | 1588892418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 0015481) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 023831) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-06-30 |