| NPI | 1447615810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management (Licence: OH 141682) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-04-19 |