| NPI | 1821544438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: MO 2013015015) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: MO 2013015016) |
| 126800000X Dental Assistant (Licence: MO 2013015017) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |