| NPI | 1639627755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: FL CL1242744) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: MD 428798) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |