| NPI | 1417460379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000706) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DHA003033) |
| 124Q00000X Dental Hygienist (Licence: PA DH010059L) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |