| NPI | 1215304449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: TX 1303336) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-02-28 |