| NPI | 1376677906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: RI CO00006) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: RI CO00006) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-09-10 |