NPI | 1891053971 |
---|---|
Former Name | YOLANDA BIDDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 9) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 9) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |