NPI | 1932557774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 11809) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2003015420) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-09-02 |