| NPI | 1841434248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: NC CFo02659) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: NC CPed0881) |
| 222Z00000X (Licence: NC CPed0881) | |
| 222Z00000X (Licence: NC CFo02659) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2010-08-23 |