| NPI | 1811098684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: MA 21973) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: MA CFM00962) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |