| NPI | 1902261290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PH008645L) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH000491) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |