| NPI | 1215399837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: FL CL1250034) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL CL1250034) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-02-23 |