| NPI | 1699788372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 222Z00000X (Licence: NC CPO03814) |
| 224P00000X Prosthetist (Licence: NC CPO03814) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-12-09 |