| NPI | 1215753702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NJ 22HI01271400) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: NJ W6S6B4D4) |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |