| NPI | 1205470267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: RI HI19128) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: RI HI19128) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2025-02-12 |