| NPI | 1841607140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125J00000X Dental Therapist (Licence: AK 15-124-DHAT) |
| Additional Taxonomies | 125J00000X Dental Therapist (Licence: AK 234051) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2015-03-27 |