| NPI | 1992037451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME rdh2889) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME IPH23) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2024-04-18 |