| NPI | 1083271704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: PA PHDH000393) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH069570) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |