| NPI | 1497460802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 1196158) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |