| NPI | 1467214502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: CPO05540) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: CPO05540) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-10-16 |