| NPI | 1174864599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: OH OH-31-00-9089) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH OH-31-00-9089) |
| 124Q00000X Dental Hygienist (Licence: FL DH15732) | |
| 174H00000X Health Educator (Licence: FL DH15732) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |