| NPI | 1700042546 |
|---|---|
| Former Name | RANAE STINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: MN DT46) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT 857) |
| 124Q00000X Dental Hygienist (Licence: MN H6057) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-08-29 |