| NPI | 1932650140 |
|---|---|
| Former Name | FELICIA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MS 3869-10DH) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-05-28 |