| NPI | 1285075770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA KK533705) |
| 174400000X Specialist (Licence: CA KK533705) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-04-18 |