NPI | 1659738045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 126800000X Dental Assistant (Licence: CA RDA 38597) |
Additional Taxonomies | 126800000X Dental Assistant (Licence: CA RDAEF 609) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-01-15 |