NPI | 1649400235 |
---|---|
Former Name | SARA LYNN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024123) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SD DH1235) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2018-11-19 |