NPI | 1912771429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DE G2-0002859) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071992) |
Enumeration Date | 2023-11-14 |
Last Update Date | 2023-11-14 |