NPI | 1013304930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224L00000X Pedorthist (Licence: PA PD000007) |
Additional Taxonomies | 225000000X Orthotic Fitter (Licence: PA OF000008) |
164W00000X Licensed Practical Nurse (Licence: PA PN078185L) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-18 |