| NPI | 1174185847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH001099) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH007120L) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |