| NPI | 1275217879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251E00000X Home Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-20 |