| NPI | 1770224172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH068133) |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: PA PHDH000358) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-12 |