| NPI | 1679958177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA MT010080) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT010080) |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO077801) | |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2016-10-21 |