Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | EFDA.00202 | OH |
NPI | 1053735530 |
---|---|
Provider Name | Robin Kramer |
First Address | Toledo, OH 43604-5317 |
Second Address | Toledo, OH 43604-5317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |