NPI | 1568097434 |
---|---|
Former Name | SARAH ELIZABETH CLOUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2011026687) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2014040156) |
124Q00000X Dental Hygienist (Licence: MO 2014040155) | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2020-03-11 |