| NPI | 1093399636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH001038) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH072090) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |