| NPI | 1144769183 |
|---|---|
| Former Name | ALECIA DANIELLE RANKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 2920) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OK 2920) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-12-05 |