| NPI | 1275091878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: FL CL1258447) |
| 224P00000X Prosthetist | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-03-29 |