NPI | 1932369592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024970) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 8716) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2018-04-19 |