| NPI | 1992930978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN4551) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME LAN458) |
| 124Q00000X Dental Hygienist (Licence: ME RDH3596) | |
| 124Q00000X Dental Hygienist (Licence: ME NOX790) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-06-13 |