NPI | 1285180133 |
---|---|
Former Name | REBECCA LYNNE NAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH070230) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DHA001477) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2023-07-10 |