NPI | 1740645019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 2593) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 120) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |