| NPI | 1831789403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDHP001186) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH069213) |
| 124Q00000X Dental Hygienist (Licence: PA DHA001937) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-02-15 |