| NPI | 1821984428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH009571L) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PHDH001463) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |