| NPI | 1093156002 |
|---|---|
| Former Name | ALISA S. HENKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 903692) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 10216) |
| 124Q00000X Dental Hygienist (Licence: NE 1454) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |