| NPI | 1790422871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 2209) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 2209) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |