NPI | 1932285178 |
---|---|
Former Name | EDA SUSAN PEITHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224900000X Mastectomy Fitter |
Additional Taxonomies | 225000000X Orthotic Fitter |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-02-24 |