| NPI | 1538052154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 61582) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: AL 61582) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 61582) | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |