| NPI | 1326806241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 224P00000X Prosthetist |
| 225000000X Orthotic Fitter | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |