| NPI | 1689077570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2011026177) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2023-08-15 |