NPI | 1881193407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NY 018374) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 018374-1) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-06-16 |