| NPI | 1124378435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 1520) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 1458) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |