| NPI | 1568767804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 1429) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 1429) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-05-25 |