| NPI | 1326892704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 261QA0900X Clinic/Center, Amputee |
| 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QV0200X Clinic/Center, VA | |
| 283X00000X Rehabilitation Hospital | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |