| NPI | 1942577648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME IPH 33) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME LAW 403) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |