NPI | 1700042546 |
---|---|
Former Name | RANAE MAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN H6057) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT 857) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2014-06-03 |