| NPI | 1487973368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: DC 1744P300X) |
| Additional Taxonomies | 171W00000X Contractor (Licence: DC DCM2726) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |