| NPI | 1467932624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1864986) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-03-09 |