NPI | 1912557653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 125J00000X Dental Therapist (Licence: MT DEN-RDH-1207) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-1207) |
Enumeration Date | 2019-09-15 |
Last Update Date | 2019-09-15 |