| NPI | 1821541590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH89131) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH1411939-L) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |