| NPI | 1427448323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH87219) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH1409871-L) |
| 124Q00000X Dental Hygienist (Licence: CO DH.002023710) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |