| NPI | 1912384348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH070159) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH000401) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |