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 |