| NPI | 1003110362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: DE CFts1167) |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: DE CFm02802) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2014-01-22 |