| NPI | 1871156166 |
|---|---|
| Former Name | DANIELLE MARIE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125J00000X Dental Therapist (Licence: MN DT110) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H10120) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |