| NPI | 1104663178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 224P00000X Prosthetist | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-09-27 |