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 |