| NPI | 1982357216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH90125) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH141300-L) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |