| NPI | 1831691104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: 213000328) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: 211000276) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |