| NPI | 1730958570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 5681) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH012990L) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |