| 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 |