| NPI | 1154077949 |
|---|---|
| Former Name | KELSEY CHIOLINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: WI 6580-403) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 1003312) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-02-10 |