| NPI | 1730298357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: NC CO03395) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: NC CFom0085) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-05-11 |