| NPI | 1528445830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH011906R) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH000042) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |