| NPI | 1356546089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: NC CFm01154) |
| 225000000X Orthotic Fitter (Licence: NC CFo04639) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-08-09 |