| NPI | 1902565567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: AR 00279) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: AR 00279) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2024-04-29 |