| NPI | 1104092923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NH 918) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 352) |
| 124Q00000X Dental Hygienist (Licence: ME 2283) | |
| 124Q00000X Dental Hygienist (Licence: MA 6712) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2016-06-10 |