| NPI | 1679445209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |