NPI | 1598409872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122400000X Denturist (Licence: NY 063347) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-04-23 |
Last Update Date | 2024-02-22 |