| NPI | 1639828734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NJ 22HI00645000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 22HI00645000) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-12-05 |