| NPI | 1851827307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000545) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH009756L) |
| 124Q00000X Dental Hygienist (Licence: PA DHA000161) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-07-06 |