| NPI | 1588289805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-08-08 |