NPI | 1700325669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH88070) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH1410692-L) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |