| NPI | 1730257254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME IPDH8) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NH 2239) |
| 124Q00000X Dental Hygienist (Licence: ME 2927H) | |
| 124Q00000X Dental Hygienist (Licence: MA 10976) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-02-15 |