NPI | 1598745762 |
---|---|
Former Name | KRISTINE MCWADE TORREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VA 0402004146) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH8243) |
Enumeration Date | 2006-01-21 |
Last Update Date | 2022-12-07 |