| NPI | 1083313027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: AK CPO05324) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: AK CPO05324) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-09-10 |