| NPI | 1942597364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME RDH 3114) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME LAN322) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-12-15 |