| NPI | 1780910240 |
|---|---|
| Former Name | MARY KATHERINE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MI 2902015485) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 4877) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2014-01-21 |