| NPI | 1386897866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA RDA30457) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA AEF859) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |