| NPI | 1811167521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: NC C46780) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: NC CFTS0353) |
| 246Z00000X Specialist/Technologist, Other (Licence: NC C46780) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2014-08-05 |