| NPI | 1285907584 |
|---|---|
| Former Name | AMBER DAWN ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH21771) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: FL 199364) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |