| NPI | 1912336785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME 2504) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME 2077) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |