| NPI | 1477820090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224L00000X Pedorthist (Licence: DE Cped3362) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: DE cped3362) |
| 225000000X Orthotic Fitter (Licence: DE cped3362) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-07-23 |