| NPI | 1639505092 |
|---|---|
| Former Name | PATRICIA LYNN BRINKMAN-FALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: NE 67) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: 613) |
| 174400000X Specialist (Licence: 175-C-12) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2019-05-22 |