NPI | 1770841033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 28383) |
Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 74362) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2014-10-14 |