| NPI | 1235984717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 174400000X Specialist |
| 1744P3200X Specialist Prosthetics Case Management | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |