| NPI | 1598252645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MS 801849955) |
| 1744P3200X Specialist Prosthetics Case Management (Licence: MS 00-56486) | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2021-04-13 |