NPI | 1073745253 |
---|---|
Former Name | ALYSON MARIE HOOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9862) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18765) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2014-08-11 |