| NPI | 1912771429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DE G2-0002859) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071992) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |