NPI | 1104839372 |
---|---|
Former Name | JULIE L. FOLLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN GH24) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 4500) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-01-29 |