NPI | 1790399582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DE G2-0003036) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31.016204) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2020-10-15 |