NPI | 1790314409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH4937) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA 4937) |
Enumeration Date | 2020-04-04 |
Last Update Date | 2020-04-04 |