| NPI | 1518238526 |
|---|---|
| Former Name | LARON JANNICE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000905549) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902009786) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-07-07 |