| NPI | 1659225449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 2701287894) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: 2701287894) | |
| Enumeration Date | 2026-02-26 |
| Last Update Date | 2026-04-22 |