| NPI | 1437033107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH074702) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 031519) |
| 124Q00000X Dental Hygienist (Licence: VA 0402208499) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |