| NPI | 1528659331 |
|---|---|
| Former Name | EMILY AMBER PICKLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH23986) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 163900) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |