| NPI | 1235477910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CA CPO05605) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 224L00000X Pedorthist (Licence: CPed4123) | |
| 222Z00000X (Licence: CA CPO05605) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2025-10-23 |