NPI | 1598041121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 5854) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402205230) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2023-10-28 |