| NPI | 1134497936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH3728) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: AK 11-076-DHAH) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-22 |