| NPI | 1194383398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: MS 512672) |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |