| NPI | 1528815032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: AL 925) |
| 222Z00000X Orthotist | |
| 224P00000X Prosthetist (Licence: AL 925) | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-14 |