| NPI | 1184108375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: OH IC903912) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH IC903912) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |