| NPI | 1053563742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: C18651) |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: C18651) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2012-08-01 |