| NPI | 1255183216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH4561) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2021036967) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |