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 |