| NPI | 1821105941 |
|---|---|
| Former Name | DONNA RENEE RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH17371) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH 17371) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-02-27 |