| NPI | 1841701810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH00316) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH010652L) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-05-09 |