| NPI | 1619583986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: PA CB134576) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: PA CB134576) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |