NPI | 1447653431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: AR L-142878) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AR 2038) |
124Q00000X Dental Hygienist (Licence: MO 2011008416) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2024-03-15 |