| NPI | 1639717754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: TN PRO0000000037) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TN ORT0000000047) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |