| NPI | 1053144675 |
|---|---|
| Former Name | STEPHANIE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: OR BAP-FA-10213306) |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: OR BAP-TA-10201665) |
| 405300000X Prevention Professional (Licence: OR BAP-TA-10201665) | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |