| NPI | 1689043127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO084506) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: SC RC75004) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-06-08 |