NPI | 1669251021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 7468) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH25876) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |