| NPI | 1801551254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 2190) |
| Additional Taxonomies | 224P00000X Prosthetist |
| 224P00000X Prosthetist (Licence: TX 2190) | |
| 222Z00000X Orthotist | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-08 |