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 |