| NPI | 1528569241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: MD 5000180317) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: MD 433904) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |