NPI | 1669775979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MI 2902003818) |
Additional Taxonomies | 126800000X Dental Assistant (Licence: MI 2903000741) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2010-12-08 |