| NPI | 1528308319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: GA GA 000004) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: GA GA 000004) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |