NPI | 1962779405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 126800000X Dental Assistant (Licence: AK 11-070-DHAT) |
Additional Taxonomies | 247200000X Technician, Other (Licence: AK 11-070-DHAT) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2012-03-01 |