| NPI | 1255114880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: AL 81052) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 174400000X Specialist | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-12-27 |