| NPI | 1003420365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NE ALPP-353244) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-11-07 |