| NPI | 1235377706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 1388) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 84981) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2023-04-24 |