| NPI | 1972315224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: TN ORT0000000291) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TN PRO0000000277) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |