| NPI | 1780244897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC CPO04209) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC CPO04209) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-05-16 |