| NPI | 1497330666 |
|---|---|
| Professional Name | LATOYA SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management (Licence: SC 61285) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-10-24 |