| NPI | 1598120529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DE G2-0002829) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071703) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |