NPI | 1164669750 |
---|---|
Former Name | KRISTI S GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH2901) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 51 024362) |
124Q00000X Dental Hygienist (Licence: TN 6417) | |
Enumeration Date | 2009-01-19 |
Last Update Date | 2019-02-26 |