| NPI | 1710725270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH075655) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DHA005699) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |