| NPI | 1659076446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH072101) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WV 3236) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |