NPI | 1093059768 |
---|---|
Former Name | CHERIE NICOLE DOUGHTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000906108) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 906108) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2022-02-02 |