| NPI | 1619517851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 28255) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 422660) |
| 224P00000X Prosthetist (Licence: MD 422660) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 422660) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2023-07-26 |