| NPI | 1306480967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: KY 700005277) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 700005277) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-02-03 |