| NPI | 1487525549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703129253) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 224P00000X Prosthetist | |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2026-04-03 |