| NPI | 1235477910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CA CPO05605) |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| 222Z00000X Orthotist (Licence: CA CPO05605) | |
| 224L00000X Pedorthist (Licence: CPED4123) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2025-07-29 |