| NPI | 1235643933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 1893) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: OK 116) |
| 224P00000X Prosthetist (Licence: OK 116) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2021-01-25 |