| NPI | 1952819583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: PA CO301793) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: DE M1-0101543) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-08-27 |