| NPI | 1295620151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: RI PDH00051) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: RI DH02139) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |