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 |