| NPI | 1740011956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 174400000X Specialist |
| 171400000X | |
| 174H00000X Health Educator | |
| 374700000X Technician | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |