NPI | 1619487808 |
---|---|
Former Name | ELISABETH WHITING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 2127) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ 8868) |
124Q00000X Dental Hygienist (Licence: OR H5877) | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-03 |