NPI | 1528840428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA CO133923) |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO133923) |
224P00000X Prosthetist (Licence: GA CO133923) | |
225000000X Orthotic Fitter (Licence: GA CO133923) | |
Enumeration Date | 2023-10-17 |
Last Update Date | 2025-03-25 |