| NPI | 1750773651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC CPO03776) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC CO005461) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-09-15 |