NPI | 1801614730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020.015634) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13008217A) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |