| NPI | 1285271833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: MO CPO04106) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: MO CPO04106) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |