NPI | 1902055882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 126800000X Dental Assistant (Licence: MI 2903000569) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902005497) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2008-09-16 |