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 |