NPI | 1407742638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD vkvcdmnl5a) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: MD vkvcdmnl5a) |
225000000X Orthotic Fitter (Licence: MD vkvcdmnl5a) | |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-06-18 |