NPI | 1992138887 |
---|---|
Former Name | JENNIFER LYNN HECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH 00006954) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5976) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2013-08-14 |