| NPI | 1235773573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA C0134100) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: GA C0134100) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |