NPI | 1982040945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 6864) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG1000701) |
124Q00000X Dental Hygienist (Licence: NC 8823) | |
124Q00000X Dental Hygienist (Licence: VA 0402205485) | |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-05-24 |