| NPI | 1992521264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME RDH4593) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-03-17 |