| NPI | 1922185263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME 3625) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 11146) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-03-29 |