| NPI | 1497112262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH068843) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH00044) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2022-04-11 |