| NPI | 1982835153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: CA CPO003184) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: CA CPO003184) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2026-04-08 |