| NPI | 1063099380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CPO04779) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: CPO04779) |
| 224P00000X Prosthetist | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-01-24 |