| NPI | 1699198515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NY 021933-1) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NJ 22HI00740500) |
| 124Q00000X Dental Hygienist (Licence: PA DH-013071-L) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-03-10 |