| NPI | 1356818025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2021-03-19 |