| NPI | 1740986843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 23431) |
| 124Q00000X Dental Hygienist (Licence: FL dh25389) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-09-07 |