| NPI | 1932625217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH000856) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH071638) |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2020-02-12 |