NPI | 1568707479 |
---|---|
Former Name | SASHA A HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH2217) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH000904313) |
Enumeration Date | 2012-12-04 |
Last Update Date | 2012-12-04 |