NPI | 1619034824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: LA 3499) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: LA 3499-08) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-09-12 |