| NPI | 1649037748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: GA IIUTOI641O) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: GA IIUTOI641O) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |