| NPI | 1609608652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: FL CPO03563) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: FL CPOo3563) |
| 224900000X Mastectomy Fitter (Licence: FL CFm03510) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |