| NPI | 1043299373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 1864) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2025-10-06 |