| NPI | 1487979035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH2774) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME IPH20) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-12-09 |