| NPI | 1730915794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: NC CPO05262) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: NC CPO05262) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |