| NPI | 1689071912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 1619) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 1619) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2016-02-10 |