| NPI | 1649798596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 374700000X Technician | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-10-09 |