| NPI | 1417603028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter (Licence: CA C36902) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 222Z00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 224L00000X Pedorthist (Licence: CA CPed4606) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 224P00000X Prosthetist | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-11-14 |