| NPI | 1427454990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 004619) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 018979-1) |
| 124Q00000X Dental Hygienist (Licence: NH 03028) | |
| 171400000X Health & Wellness Coach (Licence: IDA-3159986) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2023-02-27 |