| NPI | 1972945178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH070530) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 101177) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-08-17 |