| NPI | 1528686698 |
|---|---|
| Former Name | MELISSA KIMBERLY LOWERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2018026831) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 11980) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |