| NPI | 1083253280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 37713) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-10-26 |