NPI | 1629783428 |
---|---|
Former Name | HEATHER P WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 1002945) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H10112) |
Enumeration Date | 2023-01-17 |
Last Update Date | 2024-01-29 |