| NPI | 1659051324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA KK321310) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: CA KK321310) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA KK321310) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA KK321310) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |