| NPI | 1033736848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CA CP003476) |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: CA CFM02641) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |