| NPI | 1356965461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH073165) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH001162) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |