| NPI | 1235665787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: PA PO000243) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: PA POH000019) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |