| NPI | 1306587720 |
|---|---|
| Former Name | AMY MICHELLE GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: OK LPO102) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: OK LPO102) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |