| 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 |