| NPI | 1801214614 |
|---|---|
| Former Name | MICHELL HUDDLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OK 2761) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-04-01 |