| NPI | 1366860488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X (Licence: NC 1004704) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NC 923616904) |
| 1744P3200X Specialist Prosthetics Case Management (Licence: NC 203326) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-07-17 |