| NPI | 1134447436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH87190) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN DH0000007002) |
| 124Q00000X Dental Hygienist (Licence: MA DH1410852-L) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2013-03-12 |