| NPI | 1437622131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NH 1681) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist (Licence: ME 2482) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |