| NPI | 1932768876 |
|---|---|
| Former Name | JACQUELYNN MCWILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN03509) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858908) |
| 122300000X Dentist (Licence: RI LP00177) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-06-09 |