| NPI | 1831588342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH072013) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DHA002344) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-22 |