| NPI | 1558833533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: PA OH000367) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: PA PO000263) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |