| NPI | 1982877122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH10745) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 10745) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2011-12-21 |