| NPI | 1730379785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 68468) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: CA 68468) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2017-04-26 |