| NPI | 1841713542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH005819L) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH000897) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |