| NPI | 1366056913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NC C93093) |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management (Licence: NC C93093) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |