| NPI | 1891551099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PR 193) |
| 124Q00000X Dental Hygienist (Licence: FL 22616) | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-06-15 |