| NPI | 1770824120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NJ 22HI00683200) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH012203L) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |