| NPI | 1477929933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO126396) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: GA CO126396) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2016-02-06 |