| NPI | 1548519598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME DEN4575) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME RDH3614) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2022-07-21 |