| NPI | 1568247740 |
|---|---|
| Former Name | ELIZABETH ANN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H8660) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 33584) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |