| NPI | 1700610896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL nyzhylb3nz) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: AL nyzhylb3nz) |
| 225000000X Orthotic Fitter (Licence: AL nyzhylb3nz) | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |