NPI | 1316572506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
Additional Taxonomies | 101Y00000X Counselor |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2020-03-08 |
Last Update Date | 2020-03-08 |