| NPI | 1770025025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 0XI1R0) |
| 247100000X Radiologic Technologist (Licence: OH 51.014627) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |