| 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 |