NPI | 1548551666 |
---|---|
Former Name | ERIN LEE KONING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 1032) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402205374) |
124Q00000X Dental Hygienist (Licence: WA DH00007429) | |
Enumeration Date | 2011-04-23 |
Last Update Date | 2011-04-23 |