| NPI | 1003383456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: NY AEC-17-05264) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: FL 1307683) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-11-02 |