| NPI | 1477702363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH14015) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 14015) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2011-12-21 |