| NPI | 1700397437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: PA CT020639) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: PA CT020639L) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2025-08-17 |