| NPI | 1548004583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NJ 22HI01222500) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 031834-01) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |