| NPI | 1619315249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 3747016) |
| 174H00000X Health Educator | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-07-21 |