| NPI | 1326310749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC CPO03285) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC CO005094) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-07-21 |