| NPI | 1083195424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: CO005808) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: IL 213.000365) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |