| NPI | 1366090862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: PA PHDH001108) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-10-30 |