| NPI | 1356713705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC CPO03842) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC CO005544) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2022-06-21 |