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 |