| NPI | 1972235752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter (Licence: NC C54085) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: NC C54085) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |