| NPI | 1538806179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: LA 441590119) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-12-04 |