NPI | 1790209864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: IL 213000351) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: IL 211000319) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2023-07-25 |