| NPI | 1437611209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM2531) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH26534) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-08-31 |