NPI | 1518112929 |
---|---|
Former Name | JOYCE MARIE BROWNFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KY 1088) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13003231) |
Enumeration Date | 2008-11-26 |
Last Update Date | 2008-11-26 |