| NPI | 1770168189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH001147) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071397) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |