| NPI | 1447024815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-12-04 |