| NPI | 1316773385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH012151L) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH001093) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |