| NPI | 1124816988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-05-02 |