| NPI | 1548969488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |