| NPI | 1336016534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 13.010063) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 033890) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-07-15 |