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 |