| NPI | 1568343911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 224P00000X Prosthetist |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |