Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 03683 | NH |
NPI | 1063099778 |
---|---|
Provider Name | Emma Catherine Hardie |
First Address | Alton, NH 03809-4927 |
Second Address | Dover, NH 03820-3370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2021 |
Last Update Date | 27/03/2021 |