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 |