| NPI | 1518767193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH075833) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NJ 22HI01291700) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |