| NPI | 1831684885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: FL POR322) |
| Additional Taxonomies | 222Z00000X (Licence: FL POR322) |
| 224900000X Mastectomy Fitter (Licence: CFm02896) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-08-09 |