NPI | 1841638467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 375816) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: WI 2013254P) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2016-02-25 |