NPI | 1982761722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 4381) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WV 2001) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-07-08 |