| NPI | 1285408179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| 1744P3200X Specialist, Prosthetics Case Management | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2026-01-17 |