| NPI | 1689050932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 1077) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 57870) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |