NPI | 1164791935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225000000X Orthotic Fitter |
Additional Taxonomies | 174400000X Specialist |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |