NPI | 1457037780 |
---|---|
Former Name | MICHELLE MARIE WESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 24933) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KY 7473) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-23 |