| NPI | 1780328799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 30002221) |
| Additional Taxonomies | 126800000X Dental Assistant |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-11-09 |