NPI | 1740035302 |
---|---|
Former Name | ANITA LEE TRESIDDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: CA 733) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 67041) |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-09-13 |