NPI | 1518470301 |
---|---|
Former Name | JAIMIE MEFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000692) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH070521) |
124Q00000X Dental Hygienist (Licence: PA DHA000809) | |
Enumeration Date | 2017-11-15 |
Last Update Date | 2018-03-17 |