NPI | 1639385321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 7954) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 4018) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-08 |