| NPI | 1699308049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H3090) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 261Q00000X Clinic/Center | |
| 374J00000X Doula | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |