| NPI | 1376708644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME 2130) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 5857) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |