| NPI | 1063950251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071760) |
| 124Q00000X Dental Hygienist (Licence: PA PHDH000970) | |
| 124Q00000X Dental Hygienist (Licence: PA DHA002013) | |
| 225700000X Massage Therapist (Licence: PA MSG013114) | |
| 126800000X Dental Assistant (Licence: PA DF004742) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-06-23 |