| NPI | 1912494618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: PA OH000088) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: PA PO000047) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |