| NPI | 1356645386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: CA CPO 1881) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: CA CPO 1881) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-06-11 |