| NPI | 1124903919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 5099) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: NC 5099) |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-31 |