| NPI | 1205570876 |
|---|---|
| Former Name | AYANNA BRINEA POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 8398) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: LA 5352) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |