| NPI | 1013352947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC CO005179) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2024-03-06 |