| NPI | 1912351834 |
|---|---|
| Former Name | JERIN RACHEL HAWTHORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 906335) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 101363) |
| 124Q00000X Dental Hygienist (Licence: NC 7994) | |
| 124Q00000X Dental Hygienist (Licence: SC 3683) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |