| NPI | 1013710318 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier | 
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management | 
| Enumeration Date | 2025-03-31 | 
| Last Update Date | 2025-03-31 |