| NPI | 1518532134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI DH-2142) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NJ hi-01081900) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |