| NPI | 1568708014 |
|---|---|
| Former Name | LYNETTE EILENE JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000906518) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH 12389) |
| 124Q00000X Dental Hygienist (Licence: NM DH2242) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2022-06-17 |