| NPI | 1124665120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 222Z00000X Orthotist | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |