| NPI | 1003479932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH001069) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH012994L) |
| 124Q00000X Dental Hygienist (Licence: PA DHA001502) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |