| NPI | 1679008841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: CA kk315983) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-01-08 |