| NPI | 1689481640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: MN 23273813) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: MN 23273813) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |