| NPI | 1417283334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000752) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH070045) |
| 124Q00000X Dental Hygienist (Licence: PA DHA000945) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2018-05-24 |