| NPI | 1427219534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: NC CFts0549) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 550) |
| 174400000X Specialist (Licence: NC CFm00904) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-02-18 |