| 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 |