| NPI | 1215819982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH073914) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DHA004238) |
| 124Q00000X Dental Hygienist (Licence: NJ 22HI01160700) | |
| 124Q00000X Dental Hygienist (Licence: NJ LA01881) | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |