NPI | 1962956904 |
---|---|
Former Name | SHANNON MICHELLE SCHRITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ID DH2281) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR D5980) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2022-06-10 |