NPI | 1275525792 |
---|---|
Former Name | RENEE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402206446) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2025-03-04 |